“…The rare peripheral extraosseous type occurs on the buccal gingiva 3,9,10,18 . Although the majority present with the common described clinical and radiological features, more lesions with uncommon and extraordinary features are being reported (Table 1) 16,[21][22][23][24][25][26][27][28] .…”
Adenomatoid odontogenic tumours are hamartomatous lesions that rarely deviate from their well-recognised radiological features. However, increasing numbers with atypical radiological features have been reported in recent years. This study reports on a large extrafollicular lesion in the anterior mandible with uncommon radiological features in a 17-year-old female. Treatment included enucleation with a histopathological confirmation. Healing was uneventful.
Statement of clinical relevanceThe current lesion depicted atypical radiological features. Distinctive radiological features may not always be apparent in conventional radiographs. Hence, the use of advanced imaging may improve radiographic interpretation in differentiating from radiographically similar appearing lesions.
“…The rare peripheral extraosseous type occurs on the buccal gingiva 3,9,10,18 . Although the majority present with the common described clinical and radiological features, more lesions with uncommon and extraordinary features are being reported (Table 1) 16,[21][22][23][24][25][26][27][28] .…”
Adenomatoid odontogenic tumours are hamartomatous lesions that rarely deviate from their well-recognised radiological features. However, increasing numbers with atypical radiological features have been reported in recent years. This study reports on a large extrafollicular lesion in the anterior mandible with uncommon radiological features in a 17-year-old female. Treatment included enucleation with a histopathological confirmation. Healing was uneventful.
Statement of clinical relevanceThe current lesion depicted atypical radiological features. Distinctive radiological features may not always be apparent in conventional radiographs. Hence, the use of advanced imaging may improve radiographic interpretation in differentiating from radiographically similar appearing lesions.
“…Although the prognosis is considered excellent, regular followup is necessary. 2 Our case was treated with surgical enucleation with no recurrence reported in 2 years follow-up period.…”
Section: Jcdmentioning
confidence: 99%
“…Adenomatoid odontogenic cyst should be included in the differential diagnosis of corticated radiolucency with small radiopaque foci. 2 Radiographically, the cyst appears well-demarcated, unilocular radiolucent lesion and may contain fine calcification. They are usually associated with an impacted tooth.…”
Section: Case Reportmentioning
confidence: 99%
“…It is best considered as a hamartomatous proliferation rather than neoplasm. 2 It is known to arise from Hertwig's epithelial root sheath as a hamartomatous intraluminal proliferation of epithelial cells. 3 The lesion is most frequently encountered in the second decade of life (68.6%) and 53.1% of cases occur within 13 to 19 years of age.…”
Adenomatoid odontogenic cyst (AOC) is a benign, slow growing, relatively uncommon lesion of odontogenic origin. Histogenesis of AOC is still uncertain; however, it is often considered as a hamartomatous lesion rather than a true neoplasm. It is described as a cyst that has a hamartomatous intraluminal proliferation of epithelial cells derived from Hertwig's epithelial root sheath. It usually presents as an expansile lesion in maxillary anterior region. Adenomatoid odontogenic cyst is characterized histopathologically as well-demarcated cysts that typically appear with intraluminal masses. In the present paper, we report a rare case of AOC, thereby emphasizing the terminology and the histoarchitectural spectrum.
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